首页> 美国卫生研究院文献>BMJ Open >Cost-effectiveness of point-of-care viscoelastic haemostatic assays in the management of bleeding during cardiac surgery: protocol for a prospective multicentre pragmatic study with stepped-wedge cluster randomised controlled design and 1-year follow-up (the IMOTEC study)

【2h】

Cost-effectiveness of point-of-care viscoelastic haemostatic assays in the management of bleeding during cardiac surgery: protocol for a prospective multicentre pragmatic study with stepped-wedge cluster randomised controlled design and 1-year follow-up (the IMOTEC study)

机译：现场粘弹性止血分析在心脏手术中出血管理中的成本效益：前瞻性多中心语用研究的协议采用阶梯楔形群随机对照设计和1年随访（IMOTEC研究）

代理获取

本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。

页面导航

摘要
著录项
相似文献
相关主题

摘要

During cardiac surgery-associated bleeding, the early detection of coagulopathy is crucial. However, owing to time constraints or lack of suitable laboratory tests, transfusion of haemostatic products is often inappropriately triggered, either too late (exposing to prolonged bleeding and thus to avoidable administration of blood products) or blindly to the coagulation status (exposing to unnecessary haemostatic products administration in patients with no coagulopathy). Undue exposition to transfusion risks and additional healthcare costs may arise. With the perspective of secondary care-related costs, the IMOTEC study (Intérêt MédicO-économique de la Thrombo-Elastographie, dans le management transfusionnel des hémorragies péri-opératoires de chirurgies Cardiaques sous circulation extracorporelle) aims at assessing the cost-effectiveness of a point-of-care viscoelastic haemostatic assay (VHA: RoTem or TEG)-guided management of bleeding. Among several outcome measures, particular emphasis will be put on quality of life with a 1-year follow-up.

机译：在心脏手术相关的出血期间，早期发现凝血病至关重要。但是，由于时间限制或缺乏合适的实验室测试，止血产品的输血常常被不恰当地触发，或者为时已晚（可能导致出血时间延长，从而避免血液制品的使用）或对凝结状态视而不见（可能导致不必要的止血）没有凝血病的患者服用产品）。过度暴露于输血风险可能会导致额外的医疗费用。从与二级保健相关的成本的角度来看，IMOTEC的研究（国际血栓弹性成像医学研究，血液外科血液循环管理管理课程）旨在评估某一点的成本效益。护理的粘弹性止血测定（VHA：RoTem或TEG）指导的出血处理。在一些结果指标中，将特别重视生活质量，并进行为期一年的随访。

著录项

期刊名称 BMJ Open
作者
Jean-Christophe Rigal; Elodie Boissier; Karim Lakhal; Valéry-Pierre Riche; Isabelle Durand-Zaleski; Bertrand Rozec;
展开▼
作者单位

展开▼
年(卷),期 2019(9),11
年度 2019
页码 -1
总页数 9
原文格式 PDF
正文语种
中图分类
关键词
cardiac surgery; perioperative care; point-of-care systems; haemorrhage; health economics; blood transfusion;

机译：心脏外科手术;围手术期护理;即时护理系统;出血;健康经济学;输血;

相似文献

外文文献

1. A pragmatic, multicentre, randomised controlled trial comparing stapled haemorrhoidopexy to traditional excisional surgery for haemorrhoidal disease (eTHoS): study protocol for a randomised controlled trial [J] . Angus J M Watson, Hanne Bruhn, Kathleen MacLeod, Trials . 2014,第1期

机译：实用，多中心，随机对照试验，比较了常规痔疮钉扎术与传统切除术治疗痔疮（eTHoS）的随机对照试验研究方案
2. Efficacy and cost-effectiveness of a community-based model of care for older patients with complex needs: a study protocol for a multicentre randomised controlled trial using a stepped wedge cluster design [J] . Irina Kinchin, Susan Jacups, Jennifer Mann, Trials . 2018,第1期

机译：以社区为基础的复杂需求老年患者护理模式的功效和成本效益：一项采用阶梯楔形聚类设计的多中心随机对照试验的研究方案
3. ICEAGE (Incidence of Complications following Emergency Abdominal surgery: Get Exercising): study protocol of a pragmatic, multicentre, randomised controlled trial testing physiotherapy for the prevention of complications and improved physical recovery after emergency abdominal surgery [J] . Ianthe Boden, Kate Sullivan, Claire Hackett, World Journal of Emergency Surgery . 2018,第1期

机译：ICEAGE（紧急腹部手术后的并发症发生率：锻炼）：一项实用，多中心，随机对照试验物理疗法的研究方案，用于预防紧急腹部手术后的并发症并改善身体恢复
4. Process Evaluation of a Cluster Randomised Controlled Trial of a Monitoring and Feedback Tool Embedded in a Counselling Protocol to Stimulate Physical Activity Study protocol procesevaluation RCT It's LiFe! [C] . Renee Verwey, Huibert Tange, Trudy van der Weijden, International Conference on eHealth, Telemedicine, and Social Medicine . 2015

机译：流程评估群组随机对照试验的监测和反馈工具中嵌入咨询协议，刺激体育活动研究协议Procesevalization RCT的生命！
5. A prospective multicentre study examining the degree of utilization and factors associated with the use of disease management programs by complex cardiac outpatients. [D] . Gravely, Shannon M. L. 2011

机译：一项前瞻性多中心研究，研究复杂心脏门诊患者的利用程度和与疾病管理计划的使用相关的因素。
6. Efficacy and cost-effectiveness of a community-based model of care for older patients with complex needs: a study protocol for a multicentre randomised controlled trial using a stepped wedge cluster design [O] . Irina Kinchin, Susan Jacups, Jennifer Mann, 2018

机译：以社区为基础的复杂需求老年患者护理模式的功效和成本效益：一项采用阶梯楔形聚类设计的多中心随机对照试验的研究方案
7. A pragmatic, multicentre, randomised controlled trial comparing stapled haemorrhoidopexy to traditional excisional surgery for haemorrhoidal disease (eTHoS): study protocol for a randomised controlled trial. [O] . Watson, AJ, Bruhn, H, MacLeod, K, 2014

机译：一项实用，多中心，随机对照试验，比较了常规痔疮钉扎术与传统切除术治疗痔疮疾病（eTHoS）：一项随机对照试验的研究方案。

Cost-effectiveness of point-of-care viscoelastic haemostatic assays in the management of bleeding during cardiac surgery: protocol for a prospective multicentre pragmatic study with stepped-wedge cluster randomised controlled design and 1-year follow-up (the IMOTEC study)

摘要

著录项

相似文献

相关主题

期刊订阅